A rare presentation of enterocutaneous fistula

Thirunavukkarasu, Devi; Khanna, Sriram; Swaminathan, Shanthi Ponnandai; Kannan, R.

doi:10.18203/2349-2902.isj20220664

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…CCNs spend the most prolonged hours around the patient's bedside observing patients with ECF who may show symptoms such as abdominal pain, distension, tenderness, fever, and the discharge of enteric contents from a drain. Nursing care of patients with ECF is time and resource‐consuming 19,20 …”

Section: Introductionmentioning

confidence: 99%

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Exploration of critical care nurses' challenges in caring for enterocutaneous fistula as a complication for an open abdomen: A qualitative study

Chipu,

Kearns,

Modula

2024

Health Science Reports

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Background and AimsEnterocutaneous fistula is a severe complication of an open abdomen, which poses devastating challenges for critical care nurses. The study aimed to explore and describe the challenges faced by critical care nurses caring for patients with enterocutaneous fistulas in a tertiary public hospital in Gauteng, South Africa.MethodsA qualitative, exploratory, descriptive, and contextual design was conducted to understand the challenges experienced by the critical care nurses caring for patients with enterocutaneous fistulas. The standards for reporting qualitative research checklists are utilized. The study conducted four semistructured focus group interviews with six members in each group.ResultsCritical care nurses revealed two overarching themes: the challenges regarding difficult nursing care and the lack of resources to provide quality patient care. Care of patients with ECF highlighted that nurses were not coping with the care of such patients.ConclusionCollaboration of a multidisciplinary team involving dieticians, surgeons, and enterostomal therapy nurses could improve the management of ECF without surgical intervention, increase the knowledge and skills of nurses, alleviate their challenges, and yield safe patient outcomes. Standardized and updated protocols will ensure the best practices toward quality patient care that facilitate healing, closure, and reducing mortality and morbidity rates. The key principles for caring for patients with open abdomen, presenting with enterocutaneous fistulas, are based on correcting fluids and electrolytes, nutritional optimization and support, control of abdominal sepsis, wound care management, pain control, and emotional support to critical care nurses and ward nurses.

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Section: Introductionmentioning

confidence: 99%

“…Nursing care of patients with ECF is time and resource-consuming. 19,20 A study conducted in South Africa addressed other challenges for CCNs, such as shortage of staffing and consumables. 21 Kong, Cao, Yang, and Zhang indicated that CCNs are physically and psychologically drained by the demands of patients with ECF.…”

Section: Introductionmentioning

confidence: 99%

Exploration of critical care nurses' challenges in caring for enterocutaneous fistula as a complication for an open abdomen: A qualitative study

Chipu,

Kearns,

Modula

2024

Health Science Reports

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“…However, the majority are caused by diverticular disease and malignancy (7). They can present as a wound discharging enteric contents, with pain and tenderness, distension, or complications that might include sepsis, malnutrition, and electrolyte imbalances (8). While a proportion of spontaneous fistulae will close with nonoperative management alone, surgery is a key component in their treatment.…”

Section: Introductionmentioning

confidence: 99%

“…While a proportion of spontaneous fistulae will close with nonoperative management alone, surgery is a key component in their treatment. The choice between surgery and nonsurgical management largely depends on patient factors, pathology, and the specific course of the disease (5,8,9). Spontaneous colocutaneous fistulae are a rare sub entity (3,7), and bilateral ones are rarer.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Bilateral Lumbar Region Colocutaneous Fistulae. A Case Report

Wanjara¹,

Makanga²

2023

Ann Afr Surg.

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Bilateral spontaneous lumbar colocutaneous fistulae are rare. They are associated with high costs of care, morbidity, and mortality. We present the case of a 50- year-old male patient who presented with a 10-year history of two low-output spontaneous colocutaneous fistulae from both the left and right lower lumbar regions with no identifiable risk factors. He was managed operatively with segmental left colon resection and a temporary loop ileostomy with uneventful recovery after reversal of the ileostomy 2 months later. Whether the etiology of the fistulae is clinically apparent or not, the management should follow commonly known principles. This report highlights a case of bilateral lumbar region spontaneous colocutaneous fistulae of unknown cause that was managed operatively with satisfactory short-term outcomes.

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A rare presentation of enterocutaneous fistula

Cited by 2 publications

References 7 publications

Exploration of critical care nurses' challenges in caring for enterocutaneous fistula as a complication for an open abdomen: A qualitative study

Exploration of critical care nurses' challenges in caring for enterocutaneous fistula as a complication for an open abdomen: A qualitative study

Spontaneous Bilateral Lumbar Region Colocutaneous Fistulae. A Case Report

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